Organization Active NPI

Stefan Calloway

Doing business as Calloway Eyecare

  • Optometrist
  • Stuttgart, AR
National Provider Identifier
1114062676
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2290 Issued in AR
Legal business name
STEFAN CALLOWAY
Doing business as
Calloway Eyecare
Practice address
713 S Main St
Stuttgart, AR 72160-4805
Phone
(870) 673-8529
Fax
(870) 673-2931
NPI assigned
Feb 21, 2007
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy Calloway
Title
Business Manager
Phone
(870) 673-8529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2290 AR Primary

Addresses

Primary practice location

713 S Main St
Stuttgart, AR 72160-4805

Mailing address

PO Box 729
Stuttgart, AR 72160-0729
Phone (870) 673-8529

Other names 1

  • Calloway Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

713 S Main St
Stuttgart, AR 72160
Phone (870) 673-7181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1114062676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721600729",
            "telephone_number": "870-673-8529",
            "fax_number": "870-673-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S MAIN ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721604805",
            "telephone_number": "870-673-8529",
            "fax_number": "870-673-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN CALLOWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "870-673-8529"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calloway Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuttgart, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.